Individual
MS. HEIDI JOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC NCC CADC I
Contact information
Practice address
4300 NE FREMONT ST STE 260, PORTLAND, OR 97213-1100
(503) 709-0456
(503) 334-1529
Mailing address
4300 NE FREMONT ST STE 260, PORTLAND, OR 97213-1100
(503) 709-0456
(503) 334-1529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
990318
OR
101YP2500X
Professional Counselor
Primary
C1694
OR
Other
Enumeration date
03/24/2006
Last updated
05/06/2022
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